Provider Type Icon

SACRED SOUL WELLNESS LLC NPI 1982259180


NPI Information

NPI: 1982259180
Provider Name: SACRED SOUL WELLNESS LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
3576 QUAD PKWY
MONTGOMERY, AL
ZIP 36116
Phone: (334) 333-1632
Get Directions

SACRED SOUL WELLNESS LLC is a massage therapist in Montgomery, AL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. SACRED SOUL WELLNESS LLC NPI is 1982259180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3576 QUAD PKWY
MONTGOMERY, AL
ZIP 36116-750
Phone: (334) 333-1632
Fax: (334) 621-1842

The provider's authorized official is Tiffany Taft .
The authorized official title is Executive Director and has the following contact phone number (334) 333-1632.

The enumeration date for this NPI number is 8/5/2019 and was last updated on 9/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174016471OTHERINDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.